When to call for help?
Do not ever hesitate to call. No problem is too small, ever. If you feel that something is not right, or that something is off, that is the time to seek help. The sooner you seek help the better. Waiting may make it harder to recover from.
Before baby gets here:
- No breast changes during pregnancy
- Any history of surgeries to your breast, nipple, areola, chest (even a chest tube as an infant), this includes any biopsies, lumpectomies, augmentations, reduction, implants lifts etc.
- Any history of hormonal or metabolic changes (PCOS, thyroid, Diabetes, Pituitary, Weight loss surgery etc)
- Any difficulty with previous breastfeeding
- If you are planning on adopting or have a baby on the way via surrogacy I can help you breastfeed too! Please call ASAP so we can get you on the road to breastfeeding your child
When Baby Arrives:
- Premature baby, or a NICU baby
- Multiples, including higher order multiples
- Special Needs Baby
- If you were separated from your baby for any reason (c-section, surgery, complications, illness etc…)
- Baby’s mouth creating pain when breastfeeding. Tongue tie, clicking at the breast, cleft lip/palate, or other challenges
- Flat or inverted nipples
- Latching or positioning problems/difficulty
During the early days:
- By day 5 your milk has not ‘come in’ or transitioned
- Any nipple pain at all. Don’t believe in the myth that your nipples need to ‘toughen up’ Breastfeeding should NOT be painful. It is NOT normal to have nipple pain or trauma when breastfeeding.
- If your baby has less than 3 poops every 24 hours by day 5 (poops should turn yellow/seedy by then). 4 yellow stools by day 4 is what I recommend.
- If your baby is not nursing at LEAST 8 times a day.
- If your baby has a difficult time waking up or falls asleep quickly while breastfeeding
- If your baby is Jaundiced
- If your baby ‘never stops nursing’ or ‘never seems happy’ while breastfeeding
- While breastfeeding if you feel unhappy or depressed, or if breastfeeding seems difficult
- If your baby is receiving supplements/supplementation (even breast milk) for any reason
- If your baby is not gaining weight appropriately per the WHO breastfeeding growth charts
- If your baby is refusing the breast for any reason
If you need any reassurance about your breastfeeding experience at any time